Beach M, Goodall I, Miller P
Trent Institute for Health Services Research, Queen's Medical Centre, Nottingham, UK.
J Telemed Telecare. 2000;6 Suppl 1:S90-2. doi: 10.1258/1357633001934276.
Low-cost telemedicine equipment consisting of ISDN videoconferencing units and a store-and-forward system was installed in two minor injuries units (MIUs) and a hospital accident and emergency department in Lincolnshire. Over six months, 45 patients were treated using telemedicine in one MIU and 26 in another. Anecdotally, there were no reported radiograph discrepancies or missed diagnoses. Data collected during teleconsultations by both referring and consulting clinicians suggested that in some cases teleconsultation had helped to avoid transfer or onward referral. There were some changes in diagnosis and treatment after using telemedicine, indicating some decision-making value for the remote practitioners. In the context of minor injuries telemedicine, videoconferencing in realtime may prove to be more valuable than store-and-forward interactions. A cost-benefit analysis is being conducted using a pragmatic prospective case-control study.
由综合业务数字网（ISDN）视频会议设备和存储转发系统组成的低成本远程医疗设备被安装在林肯郡的两个轻伤科室（MIUs）以及一家医院的急诊科。在六个月的时间里，一个轻伤科室有45名患者接受了远程医疗治疗，另一个轻伤科室有26名患者接受了远程医疗治疗。据传闻，没有报告过X光片差异或漏诊情况。转诊和会诊临床医生在远程会诊期间收集的数据表明，在某些情况下，远程会诊有助于避免转运或进一步转诊。使用远程医疗后，诊断和治疗有一些变化，这表明对远程从业者有一定的决策价值。在轻伤远程医疗的背景下，实时视频会议可能比存储转发交互更有价值。正在使用务实的前瞻性病例对照研究进行成本效益分析。
